Analysis of tasks of occupational health services accomplished in Poland, 1997–2014. Do we exploit the full potential of prophylactic examinations of workers?

摘要

Background: Mandatory medical reports can be used to evaluate the scope of activity of occupational health services (OHS), includingthe number and kind of services. Material and Methods: The analysis comprised data for the period 1997–2014, derived from mandatoryreports MZ-35A submitted by OHS units. Results: During the analyzed period the number of occupational medicine physiciansdecreased from 8507 to 6741, while the number of OHS units – responsible for prophylactic care – increased from 4967 to 6261.In the years under report 3,961 million mandatory health check-ups were performed, of which 99.3% resulted in issuing fitness forwork certificates. Pre-employment examinations made 38.8%, while periodical ones – 52.8% and control ones – 6.7% of all check-ups.Moreover, 336 700 examinations of apprentices, students, vocational courses attendants and Ph.D. students were performed to evaluateany contradictions for vocational training. In 2014, there were 1871 workers provided with preventive care per 1 occupationalphysician. It was estimated that despite legal obligation, only 22.2% of employers had signed agreements with OHS units. Conclusions: The analysis of the number and kind of services provided by OHS units revealed high but not fully exploited potential for efficientprophylaxis of both directly occupational work-related and indirectly work-exacerbated diseases. Med Pr 2017;68(1):105–119